JBJS Reviews最新文献

{"title":"Erratum: Evaluation of Autograft Contamination in Anterior Cruciate Ligament Reconstruction and Its Clinical Impact: A Systematic Review and Meta-Analysis.","authors":"Sai Viswan Thiagarajah, Joshua Henry, Venkat Sivaprakasam, Paul M Sutton, Charalambos P Charalambous","doi":"10.2106/JBJS.RVW.ER.25.00108","DOIUrl":"10.2106/JBJS.RVW.ER.25.00108","url":null,"abstract":"","PeriodicalId":47098,"journal":{"name":"JBJS Reviews","volume":"13 9","pages":""},"PeriodicalIF":2.4,"publicationDate":"2025-09-24","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145138906","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Athlete's Mental Health and Quality of Life After Sports Injuries.","authors":"Waleed Albishi, Fahad Alajlan, Salem Alshehri, Nasser M AbuDujain","doi":"10.2106/JBJS.RVW.25.00123","DOIUrl":"10.2106/JBJS.RVW.25.00123","url":null,"abstract":"<p><p>» Psychological factors significantly influence both the risk and recovery process of sports injuries, with inadequate coping skills and high life stress levels identified as key preinjury risk factors.» Postinjury psychological distress, including symptoms of anger, depression, and anxiety, can hinder an athlete's rehabilitation and prolong recovery time.» Female athletes demonstrate a higher incidence of sports injuries and tend to experience more severe psychological responses after injury compared with male athletes.» Incorporating psychological support and interventions into rehabilitation programs improves outcomes and supports holistic recovery for injured athletes.» Recognizing and addressing mental health as a central component of injury management is essential for optimizing athlete well-being and performance.</p>","PeriodicalId":47098,"journal":{"name":"JBJS Reviews","volume":"13 9","pages":""},"PeriodicalIF":2.4,"publicationDate":"2025-09-22","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12445178/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145126090","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Pulmonary Function in Early-Onset Scoliosis: A Literature Review.","authors":"Abigail E Manning, Gregory Redding, Jennifer Bauer, Burt Yaszay, Scott Yang","doi":"10.2106/JBJS.RVW.25.00122","DOIUrl":"https://doi.org/10.2106/JBJS.RVW.25.00122","url":null,"abstract":"<p><p>» Early-onset scoliosis (EOS) causes restrictive lung disease, secondary to deformation of the thoracic cavity, stiffening of the chest wall, and weakening of the respiratory muscles.» Early spinal fusion has been shown to limit thoracic growth and be associated with poor pulmonary outcomes. This has led to the rise of growth-friendly surgical techniques to maximize thoracic growth.» Radiographic improvements occur, but lung functions do not predictably improve in proportion to normal growth after growth-friendly spine surgery for EOS.» Outcome measures in combination with lung function tests should be explored to better define the impact of EOS and its treatments.</p>","PeriodicalId":47098,"journal":{"name":"JBJS Reviews","volume":"13 9","pages":""},"PeriodicalIF":2.4,"publicationDate":"2025-09-08","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145024441","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Kim's Lesion of the Shoulder: A Critical Analysis Review.","authors":"Oliver D Forst, Daniel C Touhey, Edward M Barksdale Rd, Matthew V Smith, Jay D Keener, Derrick M Knapik","doi":"10.2106/JBJS.RVW.25.00126","DOIUrl":"https://doi.org/10.2106/JBJS.RVW.25.00126","url":null,"abstract":"<p><p>» Kim's lesion of the shoulder is characterized by incomplete tearing of the junction between the posteroinferior labrum and the glenoid, with the superficial labral tissue remaining intact, and generally requires arthroscopic evaluation for accurate confirmation.» Kim's lesion represents an under-reported subtype of posterior labral injury and a source of activity-related posterior shoulder discomfort and instability.» Kim's lesions are frequently observed in young, active individuals involved in overhead and contact sports, often resulting from traumatic mechanisms with the shoulder in flexion and adduction, as well as from repetitive microtrauma and overuse.» Patients often present with posterior or posteroinferior instability and discomfort with provocative physical examination maneuvers stressing the posterior labrum, accompanied by pain during activities of daily living and/or sports.» For patients with persistent discomfort and/or instability despite nonoperative management, arthroscopic fixation is generally recommended to restore pain-free mobility and posterior labral stability.</p>","PeriodicalId":47098,"journal":{"name":"JBJS Reviews","volume":"13 9","pages":""},"PeriodicalIF":2.4,"publicationDate":"2025-09-08","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145024451","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Swelling Management in Total Knee Arthroplasty: A Systematic Review.","authors":"Luke McGarry, Jack Kearney, Jessica Rotaru, Rajitha Gunaratne","doi":"10.2106/JBJS.RVW.25.00109","DOIUrl":"https://doi.org/10.2106/JBJS.RVW.25.00109","url":null,"abstract":"<p><strong>Background: </strong>Postoperative swelling is a common complication after total knee arthroplasty (TKA), associated with pain, limited mobility, and delayed recovery. This study aimed to systematically review the literature on interventions that reduce postoperative swelling, categorized into preoperative, intraoperative, and postoperative phases.</p><p><strong>Methods: </strong>A Preferred Reporting Items for Systematic Reviews and Meta-Analyses-compliant search of PubMed, Medline, Embase, and Cochrane databases was performed for clinical studies evaluating interventions to reduce swelling after primary TKA. Data were grouped by intervention timing. Methodological quality was appraised using the Modified Jadad Score, Methodological Index for Non-Randomized Studies, and AMSTAR 2 tools.</p><p><strong>Results: </strong>A total of 140 clinical studies were included, encompassing 7 meta-analyses, 125 randomized controlled trials, and 8 cohort studies. Tranexamic acid (TXA) was the most consistently effective intervention, particularly in repeated or combined regimens. Avoiding or limiting tourniquet (TQ) use, maintaining postoperative knee flexion (30°-90° for 6-72 hours), and applying cryotherapy during the first 2 weeks were consistently associated with reduced swelling. Other promising strategies included prehabilitation, aspirin cessation, cold intra-articular irrigation, mechanical compression, and adjunctive therapies like diosmin, acupuncture, and kinesiotaping. Interventions such as manual lymphatic drainage, continuous passive movement, and static compression bandaging showed inconsistent or no significant effects.</p><p><strong>Conclusion: </strong>Several perioperative strategies reduce postoperative swelling after TKA, with the strongest evidence supporting TXA, TQ minimization, knee flexion, and cryotherapy. These findings should inform the design of multimodal enhanced recovery protocols optimized for swelling management. Future research should prioritize standardized outcome reporting and assess synergistic effects of combined interventions.</p><p><strong>Level of evidence: </strong>Level I, systematic review. See Instructions for Authors for a complete description of levels of evidence.</p>","PeriodicalId":47098,"journal":{"name":"JBJS Reviews","volume":"13 9","pages":""},"PeriodicalIF":2.4,"publicationDate":"2025-09-08","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145024512","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Measurement of Socioeconomic Deprivation in Orthopaedic Trauma: A Scoping Review.","authors":"Edith G Otalike, Andrew D Firth, Alanna Marson, Emil H Scheimitsch, Gagnier J Joel","doi":"10.2106/JBJS.RVW.25.00087","DOIUrl":"10.2106/JBJS.RVW.25.00087","url":null,"abstract":"<p><p>» There is wide variability in the measurement tools used to assess socioeconomic deprivation status (SDS) in orthopaedic trauma research, including single-item, multi-item, and area-based indices.» Area-based SDS measures are commonly used because they can be readily linked to geographic identifiers in administrative data; however, they are limited by ecological fallacy and may misclassify individual-level socioeconomic status.» The lack of standardization in SDS measurement limits comparability across studies, highlighting the need for core measurement domains to support equity-focused research.</p>","PeriodicalId":47098,"journal":{"name":"JBJS Reviews","volume":"13 9","pages":""},"PeriodicalIF":2.4,"publicationDate":"2025-09-08","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12412459/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145024426","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Understanding Burnout in Orthopaedic Surgery Residency: A Guide to Making Impactful Changes.","authors":"Michael M Shipp, Paul D Fadale, Edward Akelman","doi":"10.2106/JBJS.RVW.25.00129","DOIUrl":"https://doi.org/10.2106/JBJS.RVW.25.00129","url":null,"abstract":"<p><p>» Physician burnout is an occupational crisis that consists of emotional exhaustion, depersonalization, and reduced perceived sense of personal accomplishment. It is highly prevalent among orthopaedic surgeons, with the highest rate seen in residents.» Burnout can have a detrimental impact on resident mental and physical health, patient care through medical errors and poor patient interactions, and the healthcare system.» Orthopaedic residency programs should direct resources toward initiatives that can combat burnout and improve well-being through screening, education, cultural changes, and access to physical, social, and mental health resources.» Orthopaedic surgery residents should recognize the signs of burnout and its impact, take responsibility for their physical and mental health, support their peers, collaborate with faculty leadership to identify areas of improvement, and propose tangible solutions that will benefit the residency.</p>","PeriodicalId":47098,"journal":{"name":"JBJS Reviews","volume":"13 9","pages":""},"PeriodicalIF":2.4,"publicationDate":"2025-09-08","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145024469","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Posterior Shoulder Instability in Athletes.","authors":"Christopher B Song, Hassan Farooq, Emily Kirillov, Shreya M Saraf, John Miller, Mary K Mulcahey","doi":"10.2106/JBJS.RVW.25.00098","DOIUrl":"https://doi.org/10.2106/JBJS.RVW.25.00098","url":null,"abstract":"<p><p>» Posterior shoulder instability (PSI) constitutes approximately 10% of all shoulder instability cases and is prevalent among contact sport athletes because of recurrent blunt trauma to the shoulder.» PSI presents as persistent pain and can be diagnosed using clinical tests such as the Kim test and the Jerk test.» Surgical intervention is recommended for athletes who have exhausted nonoperative treatment. Shoulder arthroscopy with posterior labral repair is the primary surgical treatment for PSI, with the goal of mitigating risk for recurrent instability and persistent pain.» The primary objective of this review was to discuss the relevant literature regarding the etiology, diagnosis, treatment, and rehabilitation for PSI.</p>","PeriodicalId":47098,"journal":{"name":"JBJS Reviews","volume":"13 9","pages":""},"PeriodicalIF":2.4,"publicationDate":"2025-09-08","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145024464","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Capitate Fracture: Diagnostic Challenges, Treatment Strategies, and Long-Term Complications: A Narrative Review.","authors":"Aidin Arabzadeh, Omid Salkhori, Seyyed Hadi Kalantar, Seyyed Saeed Khabiri, Hamed Naghizadeh","doi":"10.2106/JBJS.RVW.25.00112","DOIUrl":"https://doi.org/10.2106/JBJS.RVW.25.00112","url":null,"abstract":"<p><strong>Background: </strong>This review aims to synthesize current knowledge on capitate fractures, with an emphasis on diagnostic challenges, therapeutic approaches, and long-term complications, including nonunion and avascular necrosis.</p><p><strong>Methods: </strong>A narrative literature review was conducted using databases including PubMed, Scopus, and Google Scholar for studies published up to April 2025. Keywords included \"capitate fracture,\" \"carpal injuries,\" \"avascular necrosis of the capitate,\" and \"capitate nonunion.\" Because of the rarity of these fractures, both clinical studies and case reports were included. Articles were selected if they described clinical features, imaging modalities, fracture classification, surgical or conservative treatments, complications, or rehabilitation protocols. Non-English publications and those lacking clinical detail were excluded.</p><p><strong>Results: </strong>Capitate fractures are rare and frequently missed because of their central anatomic location and variable presentation. Plain radiographs often fail to detect these fractures; however, computed tomography and magnetic resonance imaging significantly improve diagnostic accuracy. Nondisplaced fractures may be treated nonoperatively, whereas displaced or rotated fractures typically are treated with surgical intervention such as open reduction and internal fixation. Avascular necrosis and nonunion, though uncommon, are serious complications requiring individualized surgical management, including bone grafting or salvage procedures. Structured rehabilitation is essential for restoring wrist function and preventing chronic impairment.</p><p><strong>Conclusion: </strong>Timely recognition and thoughtful management of capitate fractures, including the use of advanced imaging and individualized surgical strategies, may help reduce the risk of long-term complications and support favorable outcomes in select cases. Enhancing clinical awareness and working toward more standardized treatment frameworks could provide better care for these uncommon but potentially significant wrist injuries.</p><p><strong>Level of evidence: </strong>Level V. See Instructions for Authors for a complete description of levels of evidence.</p>","PeriodicalId":47098,"journal":{"name":"JBJS Reviews","volume":"13 8","pages":""},"PeriodicalIF":2.4,"publicationDate":"2025-08-22","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144973778","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Evaluation of Autograft Contamination in Anterior Cruciate Ligament Reconstruction and Its Clinical Impact: A Systematic Review and Meta-Analysis.","authors":"Sai Viswan Thiagarajah, Joshua Henry, Venkat Sivaprakasam, Paul M Sutton, Charalambos P Charalambous","doi":"10.2106/JBJS.RVW.25.00108","DOIUrl":"10.2106/JBJS.RVW.25.00108","url":null,"abstract":"<p><strong>Background: </strong>Understanding the characteristics of intraoperative graft contamination (IOGC) in anterior cruciate ligament reconstruction (ACLR) may guide infection control measures. Our aim was to determine the rate and characteristics of IOGC during ACLR and its clinical impact in relation to the development of postoperative infection.</p><p><strong>Methods: </strong>A systematic review and meta-analysis using Cochrane methodology were performed. PubMed, Embase, CINAHL, and Cochrane CENTRAL were searched. Studies reporting on the rate of autograft contamination during ACLR were included. Meta-analysis was conducted using a fixed- or random-effects model as indicated. The study was prospectively registered with PROSPERO (CRD42024570199).</p><p><strong>Results: </strong>Literature search identified 175 studies, of which 12 qualified for evaluation. Meta-analysis showed that the estimated rate of graft contamination during ACLR was 12.3% (confidence interval [CI] 7.8%-19%) when examining HT and BPTB grafts together. Similar rates were observed when examining HT and BPTB grafts in isolation (11.9%, CI 7.2-18.9, vs. 14%, CI 7.1%-25.6%). Meta-analysis of 2 studies that directly compared contamination between the graft preparation stage vs. harvesting stage showed a higher risk for the former, OR 3.23 (1.01-10.39, p = 0.049). Cultures were mostly monomicrobial, with Staphylococcus epidermidis being the most commonly isolated organism. There was no clear association between IOGC and postoperative clinically apparent infection, but the evidence assessing this parameter was sparse, and any link to chronic low-grade infection could not established.</p><p><strong>Conclusion: </strong>There is a high rate of autograft contamination during ACLR, and elaborate infection prevention measures are required to reduce this.</p><p><strong>Level of evidence: </strong>Therapeutic Level I. See Instructions for Authors for a complete description of levels of evidence.</p>","PeriodicalId":47098,"journal":{"name":"JBJS Reviews","volume":"13 8","pages":""},"PeriodicalIF":2.4,"publicationDate":"2025-08-22","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144973791","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}